J. MILNER FOTHERGILL, M.D., M.R.C.P. Pp. 377. London, 1872
2. A Treatise on the Causes of Heart Disease, with a Chapter on the
Reason of its Prevalence in the Army. By FRANCIS W. MOINET, M.D.,
F.R.C.P.E. Pp. 112. Edinburgh, 1872
3. Percussione del Cuore (Percussion of the Heart). By Professor
BURRESI, of Siena
REV. IX.-1. Arsenal de la Chirurgie Contemporaire, description, mode
d'emploi et appréciation des appareils et instruments en usage pour le
diagnostic et le traitement des maladies chirurgicales, l'orthopédie, la
prothèse, les operations simples, générales, spéciales et obstétricales.
Par G. GAUJOT, Médecin-major, Professeur agrégé à l'Ecole Impériale
de Médecine Militaire du Val-de-Grâce. Paris, 1867
Tome II. Par E. SPILLMAN, Médecin-major de 1re classe, Pro-
fesseur agrégé à l'école d'application de Médecine Militaire du Val-de-
Grâce. Paris, 1872
2. Orthopraxy, the Mechanical Treatment of Deformities, Debilities, and
Deficiencies of the Human Frame. By H. HEATHER BIGG, Assoc. Inst.,
C.E.. London, 1869
3. A Catalogue of Surgical Instruments, Apparatus, Appliances, &c.
manufactured and sold by JOHN WEISS and SON, 62, Strand,
London, 1863
4. Book of Illustrations. S. MAW, SON, and THOMPSON'S Quarterly
Price Current.' London, 1870
5. A Catalogue of Surgical Instruments and Apparatus. By JAS.
COXETER and SON. London, 1870
6. Salt and Co.'s New Illustrated Catalogue of Surgical Instruments, &c.
Birmingham, 1872
REV. X.-1. The Science and Art of Surgery. By JOHN ERIC ERICHSEN,
Senior Surgeon to University College Hospital, &c. London. Sixth
edition, 2 vols. 1872
2. A System of Surgery; Pathological, Diagnostic, Therapeutic and
Operative. By SAMUEL GROSs, M.D., D.C.L. Oxon., Professor in
Jefferson Medical College, Philadelphia, &c. &c. Fifth edition, 2 vols.
Philadelphia, 1872
REV. XI.-Cancer; its Varieties, their Histology and Diagnosis. By HENRY
ARNOTT, F.R.C.S., Assistant-Surgeon to St. Thomas's Hospital, and
Joint Lecturer on Morbid Anatomy in the Medical College. Illustrated
by lithographic and wood engravings by the author from nature.
London, 1872, 8vo, pp. 86
REV. XII.-A Treatise on Hæmophilia, sometimes called the Hereditary
Hæmorrhagic Diathesis. By J. WICKHAM LEGG, M.D., Casualty Phy-
sician to St. Bartholomew's Hospital. London, 1872
REV. XIII.—1. Louise Lateau, the Ecstatica of Bois d'Haine.
FEBVRE. Translated by J. S. SHEPARD. London, 1872
2. Voix Prophétiques. Par M. L'ABBÉ CURICQUE. 2 vols.
1872
ART. V.—Botany for Beginners: an Introduction to the Study of Plants.
By MAXWELL T. MASTERS, M.D., F.R.S. London, 1872
ART. VI.-Dr. Pereira's Elements of Materia Medica and Therapeutics;
abridged and adapted for the use of Medical and Pharmaceutical Prac-
titioners and Students. Edited by ROBERT BENTLEY, F.L.S., and
THEOPHILUS REDWOOD, Ph.D., F.C.S., &c. London, 1872. Pp.
1093
ART. VII.-On Diet and Regimen in Sickness and Health, and on the
Interdependence and Prevention of Diseases and the Diminution of
their Fatality. By HORACE DOBELL, M.D. Fifth and revised Edition.
London, 1872
ART. XII.-Outlines of Surgery and Surgical Pathology, including the
Diagnosis and Treatment of Obscure and Urgent Cases, and the
Surgical Anatomy of some Important Structures and Regions. By F.
LE GROS CLARK, F.R.S., Senior Surgeon of St. Thomas's Hospital.
Second Edition, revised and expanded by the Author, assisted by
W. W. WAGSTAFFE, F.R.C.S., Resident Assistant-Surgeon to, and
Joint-Lecturer on Anatomy at, St. Thomas's Hospital. London, 1872.
Pp. 350
ART. XIII.—A Treatise on the Diseases of Infancy and Childhood. By J.
LEWIS SMITH, M.D. Second Edition, enlarged and thoroughly revised.
Philadelphia, 1872
ART. XIV.-The Pathology, Diagnosis, and Treatment of Diseases of Women.
By GRAILY HEWITT, M.D., F.R.C.P., &c. Third Edition, revised and
enlarged
ART. XV.-Des Grossesses Extra-Uterines et plus Specialement de leur Traite-
ment par la Gastrotomie, &c. Par THEOdore Keller, Docteur en
Médecine. Paris, 1872. Pp. 94
Chronicle of Medical Science.
(CHIEFLY FOREIGN AND CONTEMPORARY.)
Report on Obstetrics, Gynecology, and the Diseases of Children. By W. S.
PLAYFAIR, M.D., F.R.C.P., Professor of Obstetric Medicine in King's
College, Physician for the Diseases of Women and Children to King's
College Hospital, Examiner in Midwifery, &c., to the Royal College
of Physicians
Report on Toxicology, Forensic Medicine, and Hygiene. By BENJAMIN W.
RICHARDSON, M.D., F.R.S.
Report on Surgery. By HENRY A. REEVES
NOTE TO A RECLAMATION BY DR. THOMAS HAYDEN
BOOKS RECEIVED FOR REVIEW
MEDICO-CHIRURGICAL REVIEW.
Analytical and Critical Reviews.
I. The Public Health Act, 1872.
THE statutory result of recent discussions on sanitary legislation is wholly incommensurate with the zeal and ability displayed by the controversialists. Foregone conclusions have been accepted instead of inductions from facts; and facts have been recklessly denied, because there has been no thorough sifting of statements. On either side of this controversy a large scheme has been rejected because a part of it was open to question, and an instalment has been declined because it was an incomplete measure.
Our last article on the subject (January, 1872) was written in a hopeful strain. Mr. Stansfeld's Bill had not then appeared. We had some reason to suppose that, uncommitted as he was to any official project, his acute and independent though somewhat crotchetty mind might have discarded the fundamental errors which we pointed out in the scheme of the Sanitary Commission, and in Sir C. B. Adderley's Bill founded thereon; and we hoped that the Government measure, however limited in scope, would have enacted nothing to impede more precise and comprehensive legislation hereafter. For it would be absurd to expect that a single act, or even several acts in a single session, could meet all the requirements of a complete code of public health; and it must be confessed that Mr. Stansfeld's original measure, imperfect as it confessedly was, showed an advance, a decided amendment, upon that of the Chairman of the Royal Commission, as regards local authorities. For it did not, as that did, propose to perpetuate all the small and troublesome areas of representative management which have been so unwisely created under former sanitary acts. The "Special Drainage Districts," each governed by its petty elective board, are now to be dissolved, absorbed in larger districts, and converted into
"contributory places." This is as it should be. If the same bold sweep had been made of half the local board districts, the benefit to social progress and to the public health would probably have been doubled.
Nearly a fourth of the existing local board districts contain less than 3000 inhabitants. Scarcely more than a fourth contain 10,000 and upwards. Yet the weight of evidence before the Commission went to show that no place with a population of less than 10,000 or 12,000 ought to be isolated from the general management of the country for the purpose of separate health administration. Mr. Thring, the eminent counsel at the Home Office, whose knowledge of sanitary law was probably greater than that of any member of the Commission, and whose authoritative statements and forcible arguments in favour of county sanitary administration were lost upon the prejudiced minds to whom they were addressed, advised (358-9) that only very large towns (100,000 or 200,000 population) would require special legislation; and again (378), that a town with 200,000 or 300,000 inhabitants might be treated as a county. These important recommendations were made nearly four years ago. How little fruit have they borne! How long and apparently hopeless the task of educating the legislative mind!
One remarkable fallacy in the work of the Commission has been their assumption that every small body, constituted for local government, must be empowered to execute, not only the common functions of keeping order and promoting decency and cleanliness, but also the higher functions of sanitary administration. Here, as elsewhere-latet dolus in generalibus. The inefficiency of the smaller local boards having been proved, Mr. Stansfeld at first proposed to take power to dissolve districts with less than 3000 population in default of duty. He would have done more wisely if, without actually dissolving the lesser local governments, he had included them all by representation in a County Board, or at least in a Council managing an entire Registration District. Incapable, as it appears, of appreciating the difference between ordinary local government and sanitary local management, he has retained unlimited power to form for sanitary purposes, districts without restriction as to size, and local boards without regard to competency. On the whole, it is clear that, while the new Act favours the multiplication of these minute and often mischievous urban isolations of authority, it contains no adequate powers to merge them, for health objects, in wider and more suitable districts.
Another strange error in this new constitution of local sanitary authorities is, that no provision has been made for the combination, or at least compulsory co-operation, of the esta
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